Bilateral internal thoracic artery T grafting for coronary artery revascularization. Angiographic assessment and mid-term outcome

被引：1
作者：
Fukuda I. [1 ,2 ]
Osaka M. [1 ,2 ]
Unno H. [1 ,2 ]
Kaminishi Y. [1 ,2 ]
Kamiya H. [1 ,2 ]
机构：
[1] Department of Cardiovascular Surgery, Tsukuba Medical Center Hospital, Tsukuba, Ibaraki, 305-8558
[2] Department of Cardiology, Tsukuba Medical Center Hospital, Tsukuba
来源：
The Japanese Journal of Thoracic and Cardiovascular Surgery | 2001年 / 49卷 / 3期
关键词：
coronary artery bypass; free graft; right internal thoracic artery; T graft;
D O I：
10.1007/BF02913594
中图分类号：
学科分类号：
摘要：
OBJECTIVES: We studied the early outcome of bilateral internal thoracic artery T grafting. METHODS: Coronary artery bypass grafting was studied retrospectively using bilateral internal thoracic artery T grafting in 51 patients. The T graft was made by anastomosing the free right internal thoracic artery to the in-situ left internal thoracic artery. Average patient age was 63.5 +/- 9.9 years, and the average number of anastomoses per patient was 3.6 +/- 0.9. In 35 patients, the right gastroepiploic artery (21 anastomoses in 20 patients), radial artery (1 anastomosis), free left internal thoracic artery (1 anastomosis) and saphenous vein graft (14 anastomoses in 13 patients) were used as additional bypass conduits. RESULTS: Hospital mortality was 0%. The morbidity of stroke was 1.9% (1 patient) and deep sternal infection 0%. Patency of the in-situ left internal thoracic artery was 49/50 anastomoses (98%) and that of the free right internal thoracic artery 81/84 anastomoses (96.4%). Mid-term coronary angiography in 7 patients demonstrated patent anastomosis of the T graft. Acute myocardial infarction unrelated to graft failure occurred in 2 patients during follow-up. Other patients were evaluated by exercise stress tests every year and none exhibited myocardial ischemia in the areas of T graft coronary revascularization. Three-year actuarial survival rate was 100% and freedom from cardiac events 96%. CONCLUSIONS: The bilateral internal thoracic artery T graft provides satisfactory early and mid-term outcomes in properly selected patients.
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页码：160 / 164
页数：4
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